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目的了解创新干预模式对暗娼人群高危行为干预的效果,评估创新干预工作模式的可行性,为制定或完善暗娼干预措施提供科学依据。方法采取分层随机抽样的方法分别于干预前后抽取防城港市娱乐场所内的暗娼人群作为调查对象,用统一问卷进行面对面无关联匿名咨询调查并采血作人类免疫缺陷病毒(HIV)及梅毒抗体检测,比较干预前后的调查结果。结果经创新干预后,暗娼人群对艾滋病知识的知晓率,由73.13%上升到91.67%;性行为特征有所改变,最近1次性交易安全套使用率由61.44%上升到81.25%,最近1个月性交易坚持每次都使用安全套的比例由33.33%上升到52.55%;性相关疾病发病率有所下降,梅毒感染率及出现性病相关症状的比例分别由10.95%和33.83%下降到6.71%和25.93%。结论创新干预工作模式对提高暗娼人群艾滋病防治知识水平效果明显,但在促进高危行为改变方面尚未达到预期,还需不断探索改进,以期形成完善有效的干预模式。
Objective To understand the effect of the innovative intervention model on the high-risk behavior intervention of the sexta population, evaluate the feasibility of the innovative intervention model, and provide scientific basis for formulating or improving the intervention measures. Methods A stratified random sampling method was used to collect dark-sluts from entertainment establishments in Fangchenggang City before and after the intervention, and a unified questionnaire was used to conduct face-to-face, anonymous, and anonymous counseling surveys. Blood was collected for detection of human immunodeficiency virus (HIV) and syphilis antibodies. Compare the findings before and after the intervention. Results After the intervention of innovation, the awareness rate of AIDS knowledge among sex workers increased from 73.13% to 91.67%. The characteristics of sexual behavior changed. The rate of condom use in recent sex trade increased from 61.44% to 81.25%. The proportion of sexual condoms that use condoms each time rose from 33.33% to 52.55%; the incidence of sexually-related diseases declined, and the proportion of syphilis infection-related symptoms and STD-related symptoms decreased from 10.95% and 33.83% to 6.71% and 25.93, respectively. %. Conclusion The innovative intervention work mode has obvious effect on improving the knowledge level of AIDS prevention and control among the sex workers. However, it has not yet reached the expectation of promoting high risk behavior changes. It is still necessary to continuously explore and improve in order to form a complete and effective intervention model.